Vista Care

What Vista Care does

Vista Care is a privately held, founder-owned provider of Home and Community-Based Services (HCBS) headquartered in Sheboygan, Wisconsin. Founded in 1994 by Tim Frey, the organization delivers residential services, day services, supported employment, shared living/host homes, supportive home care, behavioral health, recovery, youth services, and related disability supports to individuals with intellectual, developmental, physical, and behavioral health needs. As of the most recent reporting, Vista Care serves over 1,000 individuals across six states — Wisconsin (1994), South Dakota (2019), Nevada (2020), Illinois (2022), Colorado (2024), and Utah (2024) — operating with 251-500 employees and family ownership continuity under Tim Frey (President & Owner) and Hannah Frey (Vice President & Owner).

The company's core technology is the Vista Support Center (VSC), a proprietary remote support and telehealth platform that uses two-way communication, motion sensors, stove/cooking monitors, medication support systems, exterior security cameras, contact sensors, and Personal Emergency Response Systems to deliver scheduled services (medication passes, daily check-ins, reminders), on-demand support (7pm-10pm), and 24/7 alert-triggered response. The VSC is paired with a DSP Hotline serving as a communication liaison for front-line Direct Support Professionals. Vista Care also operates the Open Door Wellness & Recovery Center in Sheboygan, a drop-in facility for individuals recovering from behavioral health and substance use disorders.

Vista Care's revenue model is entirely Medicaid HCBS-funded, with services reimbursed through state HCBS waivers, contracts with state Departments of Human Services and Public Health (Wisconsin DHS, Illinois DHS/DPH), and county treatment teams. Service rates are negotiated with state agencies rather than market-priced. Growth has been executed through a combination of organic state launches, programmatic acquisitions (Lori Knapp, Inc. in October 2023 and Lincoln Center for Developmental Rehabilitation in October 2024), and ARPA-funded technology expansion ($764,543.12 grant from Wisconsin DHS in July 2023). The company is led by CEO Liz Olive, COO Jon Fohrer (joined February 2025), Chief Strategy Officer Aaron Baca, Chief People Officer Emilie Bartolucci, and National Directors overseeing quality/nursing and shared living operations.

Name

Vista Care

Legal name

Vista Care

Website

https://vistacare.org

Company type

Private

Founded year

1994

Operating status

Operating

Headcount range

251–500 employees

Short description

Vista Care is a privately held, founder-owned provider of Home and Community-Based Services delivering residential, day, supported employment, behavioral health, and shared living supports to over 1,000 individuals with intellectual, developmental, physical, and behavioral health needs across six U.S. states.

Ownership category

akta.pro rank

Product category

Home and Community-Based Services (HCBS)

NAICS

Services for the Elderly and Persons with Disabilities (624120), Home Health Care Services (62161), Services for the Elderly and Persons with Disabilities (62412)

SIC

Services-Home Health Care Services (8082), Services-Social Services (8300), Services-Health Services (8000)

akta.pro primary industry

Home & Community-Based Services (HCBS) Coordination & Case Management (HSABAIAM)

akta.pro secondary industry

Caregiver Support & Respite Coordination (Assessment/Scheduling/Voucher Navigation) (HLADAKAJ)

Keywords

• Home and community-based services
• Disability support services
• Supported living services
• Behavioral health services
• Developmental disability care

Headquarters

HQ city

Sheboygan

HQ country

United States

HQ region

North America

Offices5 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

Personnel, Operations, Technology or R&D, Marketing or Sales, Infrastructure

Revenue model

1. Medicaid Home and Community-Based Services (HCBS): Vista Care generates revenue through Medicaid-funded home and community-based services. These include residential services, day services, supported employment, shared living/host homes, and other supportive services for individuals with disabilities. Revenue is derived from state Medicaid waiver programs and contracts with state health departments.
2. Government Grants: Vista Care receives government grants such as the $764,543.12 award from Wisconsin Department of Health Services funded through the American Rescue Plan Act (ARPA) for technology and telehealth expansion.

Go-to-market motion1 record

Distribution channels5 records

Marketing channels7 records

Core offering

Vista Care is a multi-state home and community-based services (HCBS) provider delivering residential, day, supported employment, shared living/host homes, supportive home care, behavioral health, recovery, representative payee, housing counseling, and support broker services to more than 1,000 individuals with intellectual, developmental, physical, and behavioral health needs across Colorado, Illinois, Nevada, South Dakota, Utah, and Wisconsin. A proprietary Vista Support Center (VSC) provides remote two-way communication, scheduled medication passes, daily check-ins, on-demand support, and 24/7 alert-triggered response to supplement frontline Direct Support Professional (DSP) care delivery.

Product overview

Vista Care is a multi-state service and support organization providing Home and Community-Based Services (HCBS) for individuals with intellectual, developmental, physical, and behavioral health needs. The organization's portfolio includes core service lines: Residential Services, Day Services, Supported Apartment Program, Supported Employment, Supportive Home Care, Shared Living/Host Homes, Behavioral Health Services, Recovery Services, Representative Payee Services, Housing Counseling Services, and Support Broker Services. A key technology-enabled offering is the Vista Support Center (VSC), which provides remote support using monitoring technology. Vista Care also operates the STAR Program for youth services and the Open Door Wellness & Recovery Center. Services are delivered across six states: Colorado, Illinois, Nevada, South Dakota, Utah, and Wisconsin, serving over 1,000 individuals. The company grew significantly through acquisitions including Lori Knapp, Inc. (2023) and Lincoln Center for Developmental Rehabilitation (2024).

Differentiator

Problem solved

Functional benefit

Products and services

• Day Services Programs that enhance community access, improve social skills, and meet individual goals through daily living and social skills training, recreational activities, and community outings for individuals with intellectual, developmental, physical, and behavioral health needs.
• Residential Services Personalized support and assistance with daily living for adults with intellectual and developmental disabilities, providing 24/7 support in home-like settings.
• Supported Apartment Program Apartment living support that promotes community integration, self-directed care, and increased independence, with 24/7 on-site staff availability.
• Supported Employment Services that empower individuals to find meaningful, competitive, and integrated employment through job placement, interview preparation, and ongoing skill development support.
• Supportive Home Care Assistance for individuals with disabilities living independently in the community, including medication monitoring, community access, groceries, laundry, cleaning, and transportation to appointments.
• Shared Living / Host Homes Community-based housing where caring individuals open their homes to provide support and a safe living environment, emphasizing natural support systems and active community involvement.
• Housing Counseling Services Services designed to assist individuals in securing housing, including searching for opportunities, completing rental applications, and providing support throughout the move-in process.
• Support Broker Services Resources for individuals living in their own homes under Self-Directed Services, including caregiver recruitment, schedule management, payroll, and budget assistance.
• Behavioral Health Services Specialized support services for individuals who have faced multiple failed placements, hospitalizations, or multiple stays in state institutions due to behavioral challenges, with staff receiving specialized training.
• Recovery Services Assistance and specialized support for individuals with substance use disorders and/or co-occurring mental health conditions, provided through community-based residential facilities and adult family homes.
• Representative Payee Services Financial management services that ensure individuals with disabilities receive and manage their government benefits in a way that promotes their well-being and safeguards their financial security.
• Vista Support Center (VSC) Technology-enabled remote support center providing supplemental support to frontline staff and individuals served using two-way communication and non-invasive monitoring technology, with scheduled medication passes, daily check-ins, routine reminders, on-demand support (7pm-10pm), and 24/7 alert-triggered assistance.
• STAR Program (Youth Services) Youth Services program serving adolescents and their families in their homes, working with county treatment teams through the Comprehensive Community Services program; addresses trauma, interpersonal conflict, mood disorders, and grief/loss, with staff supervised by licensed clinicians.
• Open Door Wellness & Recovery Center Drop-in center in Sheboygan, WI for individuals recovering from behavioral health and/or substance use disorders, offering recovery meetings, games, yoga, gratitude groups, arts and crafts, and socializing activities.

Quantifiable outcome

• Serving over 1,000 individuals across 6 states
• +3 more outcomes

Named customers7 records

Segments5 records

Ideal customer profiles2 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature3 records

Partnerships

Five partnerships are on record, tiered strategic, major and core.

• Disability Service Provider Network (DSPN)strategicOthers · 18 March 2026DSPN is Wisconsin's leading trade association representing organizations that support individuals with disabilities. Vista Care's National Director of Quality and Nursing Services, Kimber Bruhn, was appointed to the Board of Directors to advocate for provider capacity, workforce stability, technology supports, and sustainable funding.
• Lincoln Center for Developmental Rehabilitation (LCDR) / Memorial Behavioral HealthmajorStrategic or Co-development Partner · 1 October 2024Vista Care acquired LCDR, a service of Memorial Behavioral Health, effective October 1, 2024. The acquisition brought nearly 200 individuals to Vista Care Illinois services and 48 new team members. The newly named Lincoln Community Connections Center provides Community Day Services, Community Employment Services, Home-Based Supports, and CILA services.
• Lori Knapp, Inc. (LKI)majorStrategic or Co-development Partner · 16 October 2023Vista Care acquired Lori Knapp, Inc., a Wisconsin-based organization founded in 1971 by Don and Bette Knapp. LKI provides in-home support, housing counseling, and support broker services in Wisconsin counties. The acquisition added over 500 individuals to Vista Care's service population, expanding combined experience to 80 years supporting people in Wisconsin.
• Wisconsin Department of Health Services (DHS)coreOthers · 27 July 2023Wisconsin DHS awarded Vista Care $764,543.12 through the American Rescue Plan Act to fuel expansion of technology and telehealth services. This grant supports the development of the Vista Support Center (VSC) and enables enhanced individual support and accessibility across licensed and certified programs throughout Wisconsin.
• Illinois Department of Human ServicescoreOthers · 12 June 2023Vista Care Illinois operates in partnership with the Illinois Department of Human Services as well as the Illinois Department of Public Health to provide CILA services to individuals with Intellectual and Developmental Disabilities in Clinton County, Illinois.

Scale indicators8 records

Recent moves9 records

Expansion highlights5 records

Direct peers

• BrightSpring Health Services: Public company providing home and community-based services for individuals with intellectual and developmental disabilities, behavioral health, and pharmacy services. Operates ResCare Community Living division that competes directly with Vista Care across multiple states in HCBS for I/DD.
• Sevita Health (formerly The MENTOR Network): Largest US provider of home and community-based services for individuals with intellectual and developmental disabilities, operating across dozens of states with similar HCBS waiver programs, residential services, and host home/shared living models.
• RHA Health Services: Multi-state provider of home and community-based services for individuals with intellectual and developmental disabilities and behavioral health needs, operating in similar Medicaid waiver frameworks with comparable service lines including residential and supported employment.
• Mosaic: National HCBS provider serving individuals with intellectual and developmental disabilities across multiple states with residential, day, and employment services funded through Medicaid waivers. Directly comparable operating model and target population to Vista Care.
• Penn-Mar Human Services: HCBS provider for individuals with intellectual and developmental disabilities offering residential, day, supported employment, and behavioral health services under Medicaid funding. Operates similar shared living and community integration service lines.
• Help at Home: Personal care and home and community-based services provider operating across multiple states with Medicaid-funded in-home support for individuals with disabilities and elderly populations. Overlaps directly with Vista Care's Supportive Home Care and HCBS offerings.
• Community Options: National HCBS provider supporting individuals with intellectual and developmental disabilities through residential services, day programs, supported employment, and behavioral health services under Medicaid funding. Directly comparable service portfolio and target population.

Broad incumbents

• Aveanna Healthcare: Public home health services company providing skilled nursing, therapy, and personal care services across many states. While broader than Vista Care's I/DD focus, it competes in adjacent Medicaid home-based services and shares the same payer ecosystem.
• Bayada Home Health Care: Large non-profit home health and HCBS provider offering pediatric, adult, and hospice services across multiple states. Comparable in scale and Medicaid dependency but with broader clinical scope than Vista Care's disability-services focus.

Regional players

• Hope Network: Regional HCBS provider based in the Midwest offering services for individuals with intellectual and developmental disabilities, behavioral health, and recovery support. Geographic overlap with Vista Care's Wisconsin and Illinois operations creates direct competition in those markets.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat4 records

Key risks6 records

Key highlights7 records

Customer concentration

• Facebookfacebook.com/vistacare.org
• LinkedInlinkedin.com/company/vista-care-inc

Revenue estimate

Valuation estimate

Number of profiles

Profiles8 records

Subsidiaries2 records

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Vista Care